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Nursing Care Plan Impaired Parenting

nurse 13 300x199 Nursing Care Plan Impaired Parenting

Nursing Care Plan Impaired Parenting Definition;Caregiver is vulnerable for felt difficulty in performing the family caregiver role Caregiver Emotional Health; Caregiver Home Care Readiness; Care-giver Lifestyle Disruption; Caregiver–Patient Relationship; Caregiver Physical Health; Caregiver Stressors; Caregiving Endurance Potential;Rest,Nursing Care Plan.

Risk Factors

  • Not developmentally ready for
  • Situational factors, such as caregiver role (e.g., young adult who must unexpectedly
    care for a middle-age parent)close relationship between caregiver and care recipient; discharge of family member
  • Evidence of drug or alcohol with significant home care addiction in caregiver or care
    recipient, health impairment of caregiver, severity or unpre-dictable course of illness, or
    instability of care recipient’s health needs; inadequate environment or facilities for providing care;isolation, inexperience, or overwork of caregiver; lack of recreation for caregiver; pres-ence of abuse or violence;
  • Evidence of codependency;simultaneous occurrence of deviant, bizarre behavior of care
    recipient; dysfunctional famil coping patterns that existed  before the caregiving situation other events that cause stress for family (significant personal loss, natural disaster, economic hardship, or major life events)

Assessment Focus

  • Behavior
  • Neurocognition
  • Coping
  • Role/relationships
  • Knowledge

Expected Outcomes

The Caregiver Will

  • Identify current stressors.
  • Identify appropriate coping strategies and will state plans to incor-porate strategies into daily routine.
  • State intention to contact formal and informal sources of support.
  • State intention to incorporate recreational activities into daily rou-tine.
  • Report satisfaction with ability to cope with stress caused by care-giving responsibilities.

Suggested Noc Outcomes

Caregiver Emotional Health; Caregiver Home Care Readiness; Care-giver Lifestyle Disruption; Caregiver–Patient Relationship; Caregiver Physical Health; Caregiver Stressors; Caregiving Endurance Potential;Rest

Interventions And Rationales

Determine: Help caregiver identify current stressors. Ask whether stress is likely to increase or decrease in the future to evaluate the risk of caregiver role strain.Attend: Encourage caregiver to discuss coping skills used to overcome similar stressful situations in the past to bolster caregiver’s confidence in ability to manage current situation and explore ways to apply coping strategies before caregiver becomes overwhelmed.Help caregiver identify formal and informal sources of support,such as home health agencies, municipal or county social services,hospital social workers, physicians, clinics and day-care centers, fam-ily members, friends, church groups, and community volunteers, to plan for an occasional or regularly scheduled respite.Encourage caregiver to discuss hobbies or diversional activities.Incorporating enjoyable activities into the daily or weekly schedule will discipline caregiver to take needed breaks from caregiving responsibilities and thereby diminish stress.Encourage caregiver to participate in a support group. Provide infor-mation on organizations such as Alzheimer’s Association and Children of Aging Parents to foster mutual support and provide an outlet for expressing feelings before frustration becomes overwhelming.If caregiver seems overly anxious or distraught, gently point out facts about care recipient’s mental and physical condition. Many times a caregiver’s perspective is clouded by a long history of emo-tional involvement. Your input may help caregiver view the situation more objectively. Suggest ways for caregiver to use time efficiently.Better time management may help caregiver reduce stress.Manage: If you believe that excessive emotional involvement is hin-dering caregiver’s ability to function, consider recommending Code-pendents Anonymous to provide support.

Suggested Nic Interventions

Caregiver Support; Home Maintenance Assistance; Referral; Respite Care; Role Enhancement; Support Group

Reference

Perren, S., et al. (2006, September). Caregivers’ adaptation to change: The impact of increasing impairment of persons suffering from dementia on their caregivers’ subjective well-being. Aging and Mental Health, 10(5),
539–548.